Image source: Thayse Ribeiro / Mídia NINJA
Luiz Inacio Lula da Silva was elected for his third term as president over Jair Bolsonaro, a change signifying a drastically different policy regime for Brazil as compared to Bolsonaro’s deleterious free-market model of governance.
By Pranav Mittal
On Oct. 30, Luiz Inacio Lula da Silva narrowly defeated his opponent, incumbent populist Jair Bolsonaro, securing 50.9% of the total votes against Bolsonaro’s 49.1%. The results are a referendum against Bolsonaro’s right-leaning and suggest a shift towards a socially progressive administration.
Jair Bolsonaro was elected in 2018 out of Brazilians’ frustration with the political and economic state of the country. Michael Temer, Bolsonaro’s predecessor, oversaw the country during a time of political and economic turmoil. Arrested for corruption in 2019, Temer was at the forefront of a corrupt and broken political system. He accepted a bribe of over $1m and was involved in multiple crimes such as money laundering and cartel formation, catalyzing the increase in Brazil’s crime rate, which reached 30.8 murders per 100,000 in 2018 from 29.9 in 2016. Brazilians’ dissatisfaction was further exacerbated by the Brazilian Economic Crisis of 2014, which saw the GDP fall by 8% and employment skyrocket by 76%, leaving 12.9 million people unemployed. Bolsonaro capitalized on Brazilians’ disillusionment with their government, drawing in voters with the promise of social order.
A puritanical believer in the free-market model, Bolsonaro appointed former businessman Paulo Guedes as his economic minister and implemented a policy framework that eroded the public welfare system and privatized the economy. To purportedly reduce the fiscal deficit, the Bolsonaro government reduced fiscal allocations to the Bolsa Familia Programme, which reduced poverty from 28% in 2002 to 12% in 2012, and Brazil’s pension system. However, such policies contrasted with the country’s increase in military expenditure, as evidenced by the 2019 defense budget of $109.9 billion, which allocated $1.43 billion more to the military than the original forecast. Throughout Bolsonaro’s regime, the defense ministry continued to receive the highest discretionary funds while public revenue sources were continuously undermined via tax cuts and privatization of public firms – Petrobras, Electrobras, Banco do Brasil – raising public debt to 78% of the GDP by his presidency’s end.
Bolsonaro was also ardently critical of Brazil’s environmental policy framework, regarding it as one of the roots of Brazil’s social and economic crisis. Thus, from its onset, his regime was characterized by a policy of “environmental dismantling” that delegitimized environmental institutions and limited their jurisdiction. Overall, there were a total of 600 changes in environmental regulations during the four years of his presidency. This included the implementation of measures that increased the scope of corporate activities concerning the environment, such as the suspension of the environmental fines program, which reallocated fine payments to combat climate change, and the subversion of policies pertaining to indigenous reserved lands. Furthermore, this was supplanted with the defunding of environmental institutions such as the Brazilian Institute of Environment and Chico Mendes Institute for Biodiversity Conservation, which reduced their managerial powers over the environment. The implementation of such policies ruptured the sociopolitical and ecological landscape of Brazil. Indigenous lands increasingly experienced violent threats from miners and land-grabbers; the invasion of indigenous lands increased by 135% in 2019 alone, while the conviction rate for illegal mining reached its lowest in 11 years. Such attacks invigorated the racist rhetoric surrounding the indigenous community, as evidenced by the 355 cases of violence against them registered in 2021, the highest since 2013. Most of all, the deforestation rate of the Amazon rainforest rose by 52.9%, decimating 3,890 kilometers of rainforest land in five years.
The unrestrained deforestation of the Amazon forest caused a 10% rise in Brazil’s greenhouse gas emissions. An average temperature increase ranging from 1 to 5 degrees Celsius has been found to reduce crop production by 0.22% to 1.16% respectively, and per capita welfare by 0.02% to 0.08% respectively. As Brazil heavily relies on soybean, sugar and beef exports, such increased concentrations of greenhouse gasses can immensely threaten the country’s economy and projected growth for the future.
The economic consequences of deforestation in Brazil are not just limited to mere hypotheses. Increased destruction of forests for commercial expansion under Bolsonaro’s policy regime linked Brazilian supply chains to deforestation, undermining the country’s position at the international market that increasingly advocates for “zero-deforestation supply chains.” Historically, Brazil has been at the forefront in pursuing policies conforming to internationally agreed sustainable development goals, allowing it to foster bilateral relationships with countries such as Norway and Germany. However, Bolsonaro’s ideological regime strained such relations, evidenced by the boycotting and exclusion of Brazilian products in recent years such as that by Swedish company Paradiset, which launched the #BoycottBrazilianFood campaign, and investors such as Finland-based Nordea and UK’s Legal and General Investment Management, which threatened disinvestment in 2019.
The peak of the Bolsonaro administration’s affronts to the Brazilian people was Brazil’s negligent coronavirus pandemic response, which resulted in the second-highest global death toll. From the pandemic’s onset, Bolsonaro actively promoted misinformation through his support of pseudoscience remedies, such as hydroxychloroquine and ivermectin over vaccines. His downplaying of the pandemic, refusal to implement social distancing rules, and lack of providing the necessary health infrastructure turned the pandemic into a humanitarian crisis, particularly affecting indigenous and Black Brazilian populations, contracting the Brazilian GDP by 4.3% by the end of 2020. In the end, Bolsonaro, elected in hopes of economic growth and prosperity, failed to deliver on the very same promises he campaigned with. Brazil’s poor population increased to 33 million, inequality soared, and the currency lost 35% of its value during his presidency.
Lula, having served as the president of Brazil previously for two terms from 2003 to 2011, presents a different record. With an average growth rate of 4.5% across his two terms, Lula presided over Brazil’s economic boom, successfully stoking the economy and allocating new resources equitably. Lula’s strong commitment to social justice was reflected in his policies as well. He instituted the Bolsa Familia programme, an anti-poverty conditional cash transfer program that helped reduce poverty in Brazil by 40%, increased education in primary schools and electrification of Brazilian households, all the while allocating public resources efficiently, which helped bring the debt to GDP ratio down from 60% to 40%.
However, Brazil’s current socio-political landscape drastically differs from his time, presenting diverse challenges for Lula. The Bolsonaro administration was characterized by a policy of fiscal excess: increased police funding, military activities expansion, extensive private subsidies and corporate tax reduction, done all without any proportional increase in government revenue, which ultimately resulted in the sky-high debt-to-GDP ratio of 78%. Lula is inheriting an economy suffering through stagflation; in May 2022, Brazil’s inflation rate rose to 11.73% in comparison to 8.06% at the same time last year, and its GDP growth fell by 0.9% in the first quarter from 1.6% in 2021. To address these economic challenges set by the previous administration, Lula has put forward a multifaceted policy framework, starting with the reduction of extraneous federal expenditure. Noting the state of the working population, he further plans to increase the minimum wage, expand the public welfare system and restore workers’ rights as a means to supplement their income. These measures will be supplanted with a potential increase in short-term borrowing, corporate and possibly, wealth taxes, all in line with Lula’s political ideology as exhibited in his previous two terms. Altogether, this worker-centered restructuring of resources by Lula is expected to help Brazil diverge from the privatized development path instituted under Bolsonaro.
However, the actualization of such changes is not so easy. As witnessed by the election results and their aftermath, wherein
Bolsonarista truck drivers blockaded highways across the country and set tires on fire, Lula is inheriting a deeply polarized society. This is in part due to the rampant corruption that has pervaded Brazil for the past two decades. During his first two terms, Lula presided over the system of Mensalao, which allocated stipends to politicians in support of his programs. While Lula claims to have no knowledge regarding the existence of this bribery system, it was a significant component of the rising systemic corruption in Brazil. As Dilma Rousseff, Lula’s handpicked successor, and later Lula himself were found guilty of being involved in Operation Car Wash, Brazil’s biggest corruption scandal, significant sections of the population lost trust in the Workers’ Party and turned to alternative leaders such as Bolsonaro. Lula was sentenced to 12 years in prison in 2017 while he continually denied all charges and claimed to be the victim of a strategic political conspiracy. And even though he was later vindicated in 2019, as all the charges against him were dropped, it appears that the judicial decision hasn’t completely swayed people’s perception of him, many of whom are still not convinced of his innocence. A survey by The Economist has shown that 22% of the PT voters who were surveyed believed Lula was guilty. Thus, even though Lula has won, it appears that he still has a significant ideological divide to reckon with to create meaningful social change and bifurcate Brazil from its past.


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To say that I love Calla Lilies is an absolute understatement – they give me such joy! Although, I was severely disappointed when they did not bloom this summer which prompted a search to find out why they did not flower and whether I could encourage them to bloom.
Calla Lilies are not blooming due to excess nitrogen in their soil, a lack of water/moisture, drainage, sunlight, inadequate dormant periods for Lilies in containers, mild winters, and foliage removed too early small or immature bulbs and incorrect planting methods.
It has become abundantly clear that I am not the only one whose Calla Lilies have not bloomed this year, especially gardeners like me who have container lilies. It takes a good amount of detective work to find out why your lilies are not flowering.
So, let’s solve this problem together – one clue at a time.
Why Are My Calla Lilies Not Blooming?
There are many reasons why your Calla Lilies might not be blooming, however, I will provide a comprehensive explanation below to address this disconcerting issue.
1 – Nitrogen Requirements for Calla Lilies
Calla Lilies grown in your garden should bloom without much fuss. However, if they don’t bloom, it could be attributed to several reasons.
If you notice that the plant’s foliage is lush and grows quickly or spot brown leaf segments, then it is highly likely that excess nitrogen has stopped your flowers from blooming.
These lilies flourish in nutrient-rich garden soil, which means that they mostly don’t need organic fertilizers to produce flowers.
If nitrogen fertilizers are used before spring flowering time, it will only encourage the plant to produce more leaves, not flowers.
Regrettably, you will not be able to encourage the plant to produce flowers if a nitrogen-rich fertilizer is applied to the growing Lily. In that case, it would be prudent to stop fertilizing the plant until the next year.
If you suspect that your plant’s soil was depleted from nutrients during the following year, apply an all-purpose, balanced fertilizer with an increased amount of potassium following the flowering season to encourage its root and bloom growth.
Once the Lily has stopped flowering, it stores nutrients and the sun’s energy in its bulbs to produce flowers during the following year.
2 – Water and Drainage Requirements for Calla Lilies
Calla Lilies do not fare well during extended drought periods as they require moist slow draining soil to thrive.
A lack of water stunts their growth by drying their bulbs, resulting in yellowed, wilted leaves that prevent the plant from blooming.
There are numerous reasons for exceptionally dry soil. Chief among them is sandy soil that does not retain moisture, excess sun, or tree roots that absorb all the bulb’s moisture.
It might be wise to transplant your lilies if there is an area in your garden that will be better suited to their watering requirements; alternatively, water them more often.
Should you decide to transplant your lilies, do so early in the morning or later in the afternoon when the sun is less harsh.
Most importantly, add a mixture of good quality compost and leaf mulch to the planting area. Once your Lilies are settled in their new environment, water them thoroughly.
The organic additives will help your plants retain moisture and increase their ability to drain excess water, which will stop their bulbs from rotting and promote healthy growth.
It is also wise to apply the compost and mulch mixture to your plants in Spring to protect them from drought conditions and increase their ability to retain nutrients that will aid their development.
A great way to ascertain whether your transplanted Lilies require more water or not is to insert your finger in the plant’s surrounding soil. If the newly applied mulch retains enough moisture, you won’t have to water it again.
3 – The Calla Lilies Are Not Getting Enough Sun
Calla Lilies will not bloom if they do not get adequate levels of the sun during the day. Especially lilies planted in shady areas, with less light.
If that is the case, it might be prudent to transplant them to an area in your garden where they will receive at least six hours of sun.
However, should it not be possible to move them, reduce the surrounding foliage, or prune tree branches above the flower bed to provide additional light for your plants.
Alternatively, dig up the bulbs in Fall when the plant’s foliage has withered away and plant them in a sunnier area in which your lilies will produce numerous flowers if they are protected with mulch.
Avoid transplanting them in either Spring or Summer when they are still growing as it will result in a transplant shock.
4 – Container Calla Lilies Dormant Periods
While Calla Lilies that grow in garden soil all have the same requirements to bloom, so do lilies grown in containers.
However, unlike garden plants, they do not have a dormant period to prepare for the flowering season, like lilies grown in garden soil.
Creating an artificial dormant period is not a complicated process. Once the traditional flowering period is over, stop watering the plant and ensure that the plant-soil becomes bone dry.
Don’t panic – the foliage will wither away, and it will look like your beloved plant is only fit for the compost heap. Simply move it to a cool dark area for approximately two months.
Then move it to a light-filled area and continue watering it as usual, which will promote its’ growth, and as if by magic – result in a profusion of beautiful new flowers.
5 – Calla Lilies Require Cold Winters
Prolific Asiatic Lilies only bloom in spring if exposed to cold winter periods; this required winter rejuvenation process is known as a vernalization process.
It’s a critical component of their development as the bulbs have become accustomed to seasonal temperature changes. Therefore, the Lily bulbs realize when it’s their time to start growing to produce flowers in Spring.
Suppose you are growing your Asiatic lilies in a hot climate where the winter temperatures are mild. In that case, the vernalization process will not be initiated, which will prevent your lilies from flowering.
On a side note – the Easter Lily variant is more suited to warm climates, with mild winters, as they are not reliant on the vernalization process to produce blooms.
5 – Your Calla Lily Foliage Was Removed Too Soon
There is always a temptation to prune your Lily’s foliage after it has bloomed. However, it’s prudent to wait for the leaves to turn brown and wither away naturally during the Fall.
Cutting the plant’s foliage prevents it from storing adequate energy stores in its bulbs to flower in Spring.
Their leaves are still full of life after the plant has bloomed. It uses the remaining part of the summer and fall seasons to store nutrients and the sun’s energy to produce flowers in the following year.
6 – Deficient Calla Lily Bulbs
Another potential reason for Lilies that do not produce flowers is that their bulbs are too small or not mature enough.
Small bulbs cannot store enough energy to produce flowers in their first year after being planted. They redirect their limited energy to growing their plant structures and settling into their new environment.
With the right conditions, these immature bulbs will grow enough to display flowers in the following year once they have grown sufficiently.
Mature Lily bulbs that are larger are more likely to bloom in Spring due to their increased capacity to store enough energy.
Therefore, if you find yourself shopping for new flowering plant bulbs in your local garden center – select the largest healthy-looking bulb they have on offer.
7 – Overcrowded Calla Lily Bulbs
It is also possible that your Lily bulbs might not have enough space to grow.
When spring foliage emerges, overcrowded bulbs will compete for nutrients, sunlight, space, and moisture.
If that is the case, it is advisable to dig them up in the Fall and transplant them to an area of your garden with adequate space.
This spread-out planting method will ensure that they have enough access to their required resources to produce a bountiful display of flowers in Spring.
8 – The Depth of Your Planted Calla Lily Bulbs
There is also a possibility that your bulbs were not planted at the correct depth.
If they were not planted deep enough, they would have frost damage which prevents them from flowering.
Lily bulbs planted too deep in the ground may not flower or only produce blooms in another spring season.
Calla Lily Bulb Transplanting Tips
If you realize that your Calla Lilies are overcrowded or not planted at the correct depth, dig up their bulbs once their foliage has died back in Fall.
Like most plants, the ideal time to transplant the bulbs is in Spring. However, you could start the growing process indoors, approximately a month before the expected frost period. Alternatively, they can be planted in your garden if there is no prospect of frost.
If you have lilies that tend to flower during the Easter period, rather plant them in December.
A word of warning is advised – rather, delay planting if your soil temperature is too cold. Your garden soil’s temperature should ideally be 32°
F, or warmer.
Start the planting process by measuring planting holes approximately 12 inches apart, loosen the soil and apply a good quality compost. Now plant the bulbs with their growing tips pointing upwards about 4 inches deep.
Once the bulbs have been planted, water them well and cover them with mulch to conserve the soil’s moisture and prevent weeds from growing.
It will take approximately two weeks before you see new shoots and between 13-16 weeks for their flowers to bloom. However, the flowering season depends on the cultivar and when the bulbs were planted.
Lily bulbs planted in spring will typically bloom for three to eight weeks from the midsummer period until fall. However, their ability to flower depends on their variety, including the amount of sun or light it receives.
If your lilies are perennial due to the climate it inhabits, they will normally bloom late in Spring or at the beginning of Summer.
Calla Lilies Aftercare
It is imperative to care for your transplanted Lilies during their fragile growing spurts if you want an abundance of blooms in Spring or Summer.
Most importantly, keep your plants well hydrated and do not let their soil dry to such an extent that they will not flower.
Then nourish your plant with a well-balanced fertilizer every 14 days until the flowering season is over.
Apply mulch mixed with manure or organic compost on an annual basis during Fall to prepare them for the winter season and remove any remaining flower stems once the flowers have faded.
Calla Lilies may also be propagated if you have small bulbs kept in sheltered pots during the winter season. Simply divide the small buds by cutting them into smaller parts with visible growth nodes.
Larger bulbs that are overwintered in your garden may be removed from their soil before they start to develop and split into smaller parts with a spade that cuts through their route system.
During the next flowering season, harvest your Lilies when they are fully open, and their stamens are visible by pulling them away from the plant and not cutting them as that extraction method might harm their tubers
The ideal time to collect them is during cooler periods like early in the morning or later in the evening.
On a side note – Calla Lilies are a great addition to your home as their vase life is up to 2 weeks long, which makes them even more worthy of all the time and effort you had to invest in taking care of them.
How to Overwinter Your Calla Lilies
Calla Lilies grown in warm climates ranging from zones 8 to 10 are resilient during the cold winter months and maybe left where they are.
However, if you reside in a colder growing zone, it would be prudent to safeguard your Lilies before frost damages your plants. Just dig up their bulbs to store them during the winter months, and plant them in Spring.
Likewise, if temperatures start to drop below the freezing point and your plant’s foliage begins to brown, prune the stems and foliage to approximately 1 to 2 inches in height. Then remove the bulbs to overwinter in a sheltered area.
Should you cultivate several Calla Lily varieties, label your retrieved bulbs that need to be replanted in the Spring.
Once they have been retrieved, wash them, and dry the tubers for approximately 2 to 3 days in a dry and warm area (65°
F to 75° F). Following which they need to be transferred to a container with peat moss that is slightly damp and stored in a dark area with a temperature ranging from 50-60° F. Final Thoughts
There are several reasons why your beloved Calla Lilies are not blooming. However, it’s most likely due to excessive nitrogen in your garden soil or a lack of water, drainage, and sunlight.
Alternatively, their bulbs might be too immature, or they were not planted correctly.
So, it’s worth investigating the potential reasons for their failure to bloom if you want to enjoy a magnificent display of Calla Lilies this summer. Happy gardening!


Normal anxiety is a standard body reaction to different types of circumstances and events in life. For instance, you may feel anxious before an exam, job interview, and conflict with someone, among others.
Also, anxiety is when your body alerts you to respond in anticipation of a potentially dangerous situation or threat. It prepares your body to defend itself to escape or react quickly to a hazardous condition.
However, a generalized anxiety disorder (GAD) is when your anxious thoughts and behaviors interfere with your normal activities. For instance, a person with GAD can be afraid of traveling, going to public places, meeting with people, among others. Usually, characteristics of anxiety disorders include severe physical symptoms, intense apprehension, and nervous feelings that last for long without apparent cause.
When you learn to recognize the symptoms of normal anxiety and its disorders, you can differentiate between the two conditions. The following tips will help you to distinguish between them.
Identify the Timing
Normal anxiety levels may happen right before or during an occasion. Usually, it is reasonable to feel stressed or nervous due to the threatening situation. However, if you have an anxiety disorder, symptoms will take place days or weeks even before an event begins. During this period, you will feel anxious more than the condition warrants.
For instance, if you are anxious about an examination, an average person will only be concerned around the time of the exams. However, a person with an anxiety disorder will start feeling anxious a week or so before the exam date. The condition can also persist even after finishing the exam.
Evaluate its Duration and the Source
Normal anxiety takes place when a stressor is surrounding you. Usually, it will cease once a danger, or a threat disappears, or when the body gets used to the condition. However, if you are struggling with anxiety disorder, you will experience it because of a stressor, which never seems to go away.
Anxiety happening due to an anxiety disorder usually last for several weeks or months, while normal anxiety lasts between hours and a few days.
Additionally, normal anxiety occurs for many different reasons, and due to everyday situations. If you have an anxiety disorder, you may feel anxious for no apparent reason or due to something that may not be a significant concern to others.
Establish if the Anxiety Interferes with Your Normal Life
Normal anxiety will not interfere with your daily activities or anything that you want to do. Anxiety disorders often hinder your everyday life. For example, this disorder can make you cancel important meetings to avoid social confrontations or skip other crucial events. Also, you may evade attending places because you fear people judging you or being afraid of embarrassment or humiliation.
Talk to Your Doctor if you Think you Have Anxiety Disorder
Almost everybody can relate to anxiety symptoms since everyone has experienced it at one time in life. If you feel your condition might be a significant concern related to the above signs, it is crucial to seek advice from your doctor. Usually, a professional psychologist will diagnose and treat all anxiety disorders.


Abstract
Prediction of subsequent risks of breast carcinoma (BC) development in intraductal papilloma (IDP) has remained controversial with the exception of atypical papilloma (AP). The potential value of immunohistochemistry (IHC) of cytokeratin 5/6 [CK5/6] and p63 have been proposed but its standardization has also remained controversial. We studied 17 patients initially diagnosed as IDP or AP who subsequently developed BC with 34 age-matched controls. We compared histological features, results of IHC (estrogen receptor [ER], progesterone receptor [PR], human epidermal growth factor receptor 2 [HER2], p63, CK5/6, Ki67), and ultrasound findings. Univariate conditional logistic regression analysis revealed that the status of both CK5/6 and p63/CK5/6 were significantly associated with subsequent BC development (P < 0.05). BC development in CK5/6 positive patients was 17.9% and p63/CK5/6 double positive patients 8.6%, respectively. Ultrasound evaluation was not significantly associated with any of the parameters examined and subsequent carcinoma development. Despite CK5/6 positivity, the subsequent incidence of BC development was nearly 20%. However p63/CK5/6 double positive status could predict a significantly lower subsequent carcinoma incidence, indicating a more accurate prognostic utility. Combining p63/CK5/6 with histological findings could be easily applied and could predict the subsequent BC development of the patients diagnosed as IDP at biopsy.
Keywords Atypical papilloma CK5/6 Intraductal papilloma P63 Predictor Subsequent carcinoma ASJC Scopus subject areas Pathology and Forensic Medicine


Business Process Management
Enhance business performance backed by cutting-edge process transformation with our BPM solutions.
INTERNATIONAL TAXATION
Business Process Management (BPM) makes organizations agile and allows them to accelerate their growth with the help of intuitive and data-driven processes. Amid the competitive and ever-changing business landscape, BPM could be an effective tool to leverage advanced technologies and human ingenuity for transforming business processes into key growth drivers.
While BPM is commonly considered a technology or process, EmpGrow considers it to be a dynamic merger of process, technology, and people. Our holistic BPM solutions focus on a 360° value approach to spearhead transformation initiatives that are inspired by our extensive experience, global asset portfolio, and cutting-edge technology ecosystem. We:
Customize BPM solutions to deliver tangible IT and business benefits Leverage our 360° value approach to evolve business processes and drive growth Establish, prototype, run, and expand BPM discipline to ensure holistic process management Leverage local and national resources to reduce costs and simplify operations Why Business Process Management?
Business Process Management (BPM) is about transforming how businesses engage with their operations. Simply put, it is ‘how’ an organization gets things done. Over the years, this ‘how’ aspect has undergone significant changes, and the strongest organizations are updating their internal functioning to keep pace with modern times.
BPM is a step in this direction. By automating, identifying, and optimizing business processes, BPM offers a plethora of valuable advantages.
Our Business Process Management Services
Any effective business transformation is incomplete unless the processes responsible for driving the operations are not transformed. Unfortunately, companies that focus on larger technology delivery programs often overlook the need for BPM to effectively transform and achieve their objectives.
EmpGrow offers an extensive range of BPM solutions leveraging our vast experience across verticals, countries, and capacities to help modern businesses. Our services include-
Our Operational Excellence Services
Our BPM experts work with organizations to understand their transformation objectives and customize our time-proven approach to deliver the expected results. We can help transform, automate, and improve your business processes, providing you an edge over your competitors and ensuring compliance. Our services include-
Supply Chain Technology Enablement Sourcing and Procurement Business Process Improvement Process Assessment and Measurement EmpGrow to Transform Processes and Empower Growth
While Business Process Management (BPM) has been around for a long time, the focus is no longer the methodology. The vast growth of the digital world has made technology the core foundation of BPM strategies for global businesses. Amid the rising competition, businesses that fail to transform and keep pace with the changing times are at a disadvantage.
Your business needs a BPM partner that has extensively worked with businesses across industries to create the right blend of process, technology, and people to transform and drive growth.
Contact us to know more about our BPM services and how we can transform your processes so that they better align with your business objectives and improve the value of the enterprise.


Summary: This session is a panel presentation that communicates a forward vision addressing disparities in agricultural mental health. The presenters will explore the development of a farmer specific hotline, the efforts of a state department of agriculture, and suggested strategies to address a central objective-to meet the mental health needs of ALL agricultural producers and their families. This session is designed to spark discussion, ideas, collaborations between community and governmental groups to thoughtfully build a mental health safety net across cultures. Intended Audience: Ag producers, farmers, ranchers, farm families, rural and ag community members, rural and ag policy makers, health and safety professionals Objectives: At the end of the presentation, participants will be able to…
1. Describe diverse, cultural characteristics of rural and agricultural communities to inform innovation in mental health.
2. Understand the scope of work required to develop a farmer specific hotline.
3. Discuss program strategies that could address the gaps of mental health programming.
4. Explore state-level efforts to address disparities in mental health and agriculture.
Thank you to our generous program sponsors:


Ohio EPA guidance for navigating compliance-related issues during COVID-19
Ohio EPA has acknowledged its awareness that regulated entities may be impacted by a reduced workforce necessary to maintain normal operations at some facilities and issued guidance in response. To address instances in which regulated entities will have an unavoidable noncompliance situation directly due to impact from the coronavirus, Ohio EPA has created a specific email address to accept requests for the Director of Ohio EPA to provide regulatory flexibility when possible to assist entities in alternative approaches to maintaining compliance, including extending reporting deadlines, consideration of waiving late fees and exercising enforcement discretion.
Ohio EPA instructs regulated entities to email EPA.COVID-19REGFLEX@epa.ohio.gov with specific information related to enforcement discretion requests and to, at a minimum, include the following information:
The specific regulatory or permit requirement that cannot be complied with A concise statement describing the circumstances preventing compliance The anticipated duration of time that the noncompliance will persist The mitigative measures that will be taken to protect public health and the environment during the need for enforcement discretion A central point of contact for the regulated entity, including an email address and phone number
Lastly, Ohio EPA specifies that, when alternative compliance options are authorized by Ohio EPA, regulated entities must maintain records adequate to document activities related to the noncompliance and details of the regulated entity’s best efforts to comply.
This is for informational purposes only. It is not intended to be legal advice and does not create or imply an attorney-client relationship.


Ever get the feeling that your current workouts are plateauing after a year of doing them on repeat? If you want to switch it up and squeeze all the benefits of a longer sweat sesh into less time, look no further: These dynamic 30-minute HIIT workouts will get your heart pounding and muscles burning in a flash.
High-intensity interval training (HIIT) is a style of exercise that alternates bursts of all-out activity with rest, like 30 seconds of sprinting followed by 30 seconds of walking. And it’s versatile, says Rachel Warren, founding instructor at the dance studio FORWARD__Space. Simply pick your favorite activity, like dancing or strength training, and do it interval-style to spice up your workout without having to adopt a whole new fitness regimen. Added bonus? It’s convenient, says iFit trainer Kelsey Sheahan — you can do HIIT anytime, anywhere, and without equipment.
It’s no secret that exercising can make your body and mind feel good.
Sound too good to pass up? HIIT the ground running with trainers’ seven favorite 30-minute HIIT workouts below.
1. No-Equipment HIIT
No dumbbells, no problem. You can slay these simple HIIT sessions sans equipment, says Kory Flores, a Rumble boxing coach on Equinox+. But don’t be fooled — though these workouts are easy to follow, it won’t take long for your muscles to start burning. Do each exercise in one of the below lists for 45 seconds, then rest for 15. Repeat each list five or six times through for a complete half-hour workout, or switch between the two for a total of five or six rounds if you can’t decide which group of exercises to try.
Workout #1:
- Low inchworms
- Squat jumps
- Bear plank knee taps
- Froggers
- Jump forward, then duck walk back to your starting position
- Heismans
Workout #2:
- Skaters
- Lateral hops
- Lateral hops to sprawl
- Plank march
- Hand-release pushups
- Pushup hold
2. Total-Body HIIT
Channel your inner Britney with Sheahan’s “HIIT me baby one more time” workout, which you can slay with or without equipment like weights or resistance bands. Do each exercise for 40 seconds, followed by 20 seconds of rest. Repeat the entire list three times. And don’t forget to warm up and cool down to get the most out of this HIIT session, she adds.
- 2 low side-steps (2 steps to the right in squat position, then 2 steps to the left)
- Alternating squat step-outs
- Squat with an alternating oblique twist
- Narrow-to-wide hops (hold a squat position while you jump your legs out and in)
- Alternating curtsy lunge with squat jump
- Sprawls
- Alternating side planks with a pushup
- Plank walks plus two plank jacks
- Forearm plank mat reaches (hold a plank while alternating reaching your hand to the upper corner of your mat or space)
- Scissor switches
3. Tabata Fusion
If you want to kick your intervals up a notch, try Tabata, recommends Hyfit head trainer Eli Poplinger. Traditional Tabata timing is 20 seconds on, 10 seconds off for a total of four minutes. Mix and match seven of the below cardio and functional strength exercises, then do a four-minute Tabata round of each to build your own workout.
Cardio exercises:
- Running in place
- High knees
- Mountain climbers
Strength exercises:
- Squats
- Lunges
- Chest press
- Biceps curls
- Tricep extensions
- Thrusters
4. Upper-Body HIIT Warm-up:
- Inchworm to tricep pushup
- Chest pushup to downward dog
- Bear plank with shoulder taps
Block 1:
- Tricep kickback
- Tricep extension
- Tricep dip
- Cross body chest scoop
- Chest press
- Chest pushup
- 30 seconds of burpees, 30 seconds of rest
- Repeat twice.
Block 2:
- Wide bicep curls with a 15-second hold
- Standard bicep curls with a 15-second hold
- Back flys
- Alternating renegade rows and pushups
- Standing row with a 15-second hold
- Repeat twice.
5. Lower-Body HIIT
If your arms are sore from the previous session but you still want to get your HIIT on, try this leg-focused bodyweight workout from Caillouet. Do each of the below exercises for 1 minute to feel the lower-body burn.
Warm-up:
- Air squat to good morning stretch
- Squat and inchworm to a pushup
- World’s greatest stretch with a pushup
Block 1:
- Tempo squat to squat jumps
- Tempo squat to squat hold
- Alternating reverse lunges
- Alternating reverse lunges with a pulse
- Jump lunges
- Glute bridges
Block 2:
- Forearm plank with hip dips
- 15-second hollow hold, 15 seconds of crunches, 15-second hollow hold with flutter kicks. Repeat for two minutes.
Blocks 3 and 4:
- Lunge with a lean forward at the bottom
- Split squat with a 30-second hold and pulse
- Single-leg deadlift
- Curtsy lunge with a 30-second hold and pulse
- Rocket lunges
- Repeat Block 2 for an active recovery.
- Do this whole block once on the left side, then once on the right side.
6. Strength-Building HIIT
If you have some basic gym equipment at your disposal, then these circuits from personal trainer and Rumble instructor Dale Santiago will put it to good use. Grab a set of medium and heavy weights, then cycle through the exercises in each block for the allotted time to get a full-body workout. Do 15 leg lifts in between each block as an active recovery.
Warm-up (4 minutes):
- 30 seconds of front lunge with a twist (per side)
- 30 seconds of kneeling wood chops (per side)
Lower-body block (10 minutes):
- 10 deadlifts
- 10 squat cleans
- 10 dumbbell or kettlebell swings
Upper-body block (8 minutes):
- 30 seconds of shoulder presses (per side, then both at the same time)
- 30 seconds of bent-over rows (per side, then both at the same time)
Lower-body block (6 minutes):
- 30 seconds of reverse lunge with weight on shoulder (per side)
- 1-minute sumo squat with weights
Finisher (2 minutes):
- Devil’s press (burpee into a double-handed snatch)
7. Dance HIIT
Put on your dancing shoes for this full-body HIIT movement class from Warren. Spend five minutes cycling through the exercises in each of the below blocks to get your body moving and grooving.
Dance warm-up:
- 8 alternating arm reaches
- 8 shoulder rolls
- 8 jumping jacks
Weights block 1:
- 16 single bicep curls, alternating sides. Then do 2 curls per side, then 4, then return to singles.
Weights block 2:
- 8 wide-leg squats
- 8 basic squats
- 8 shoulder presses
Dance break:
- 8 jump squats
- 8 counts of football runs
- 8 single-leg ski jumps (per side)
- Alternate each exercise with some freestyle dancing
Weights block 3:
- 8 tricep kickbacks
- 8 front arm lifts
- 8 straight-arm pulses of your weights behind your torso
Dance break:
- 8 counts of football runs
- 8 counts of alternating arm reaches
- 8 jump squats
- Alternate each exercise with some freestyle dancing
Studies referenced: Alansare, A. (2018). The Effects of High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Heart Rate Variability in Physically Inactive Adults. International Journal of Environmental Research and Public Health, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069078/ Kong, Z. (2016). Comparison of High-Intensity Interval Training and Moderate-to-Vigorous Continuous Training for Cardiometabolic Health and Exercise Enjoyment in Obese Young Women: A Randomized Controlled Trial. PLoS One, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930190/ Experts:


COVID-19 Vaccine FAQ – 3 rd Dose for Immunocompromised Individuals
1.
Why is a third dose of the COVID-19 vaccine necessary? Is it not as effective as we thought?
COVID-19 vaccines have been proven safe and highly effective, even against the Delta variant. The CDC’s Advisory Committee on Immunization Practices (ACIP) now recommends an additional dose of the mRNA COVID-19 vaccines (Pfizer and Moderna) specifically for people who are moderately to severely immunocompromised. A third dose will help this vulnerable population enhance their immune response and further protect them from serious – and potentially prolonged – illness.
2.
Why is a third dose only recommended for immunocompromised individuals at this time?
Studies have shown that immunocompromised individuals typically have less of an immune response after initially completing a 2-dose COVID-19 vaccine series than those who are non-immunocompromised. The third dose is intended to help enhance their immune response by increasing antibody levels for greater protection against the virus.
3.
What are the criteria for receiving a third dose?
Individuals may qualify for a third dose if they are moderately or severely immunocompromised due to a medical condition or receipt of immunosuppressive medications or treatments. This includes people who have:
Been receiving active cancer treatment for tumors or cancers of the blood Received an organ transplant and are taking medicine to suppress the immune system Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome) Advanced or untreated HIV infection Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response
4.
Is a doctor’s permission or a prescription required?
No. The CDC has indicated that immunocompromised people will not need a doctor’s permission or a prescription to get a third shot. They will only need to attest that they meet the eligibility requirements for an additional dose. Individuals who are unsure whether they meet the criteria above should consult their provider.
5.
Can immunocompromised individuals who initially received the Johnson & Johnson/Janssen COVID-19 vaccine now receive a dose of the mRNA vaccine?
Currently, there are insufficient data to support the use of an mRNA COVID-19 vaccine dose after a single-dose J&J/Janssen COVID-19 vaccination series in immunocompromised people. The FDA and CDC are actively working to provide guidance to immunocompromised individuals who previously received the single-dose J&J/Janssen vaccine.
6.
What if someone has a chronic medical condition like diabetes or asthma? Can they get the third dose now?
These individuals should not receive a third dose at this time. However, it is expected that the general public will be able to get a booster shot sometime this fall. We anticipate that the booster dose will first be available to healthcare workers, first responders and nursing home residents.
7.
What is the difference between a third dose and a “booster” shot? Are they the same thing?
The vaccine dose is the same, but the intended purpose is different. The third dose is intended to improve immunocompromised people’s response to the initial vaccine series. A booster dose is given to people when the immune response to a primary vaccine series is likely to have waned over time.
8.
How long after completing the 2-dose series should an immunocompromised individual receive a third dose?
The CDC recommends that people with moderately to severely compromised immune systems receive an additional dose of mRNA COVID-19 vaccine at least 28 days after a second dose of the Pfizer or Moderna vaccine.
9.
Where can someone get a third dose?
Check www.vaccines.gov to find a COVID-19 vaccine near you.


Last week, the U.S. Environmental Protection Agency (EPA) released a pre-publication version of a Proposed Rule to designate PFOA and PFOS as hazardous substances under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA or Superfund). This marks the next step in a trend of increasing regulation of per- and polyfluoroalkyl substances (PFAS), a class of chemical substances to which PFOA, PFOS, and a number of other substances belong. PFAS have been used for a variety of applications, including firefighting foams, stain guards, and non-stick coatings, and are now widely found in the environment.
Under CERCLA, EPA has the authority to require potentially responsible parties (PRPs) to remediate sites contaminated by hazardous substances, and to recover costs from such PRPs for EPA-led cleanups. These provisions do not yet apply to PFAS because they are not CERCLA hazardous substances, but if the Proposed Rule is finalized, these familiar provisions would apply to PFOA and PFOS. Similarly, the hazardous substance designation would allow private parties that incur costs to investigate and remediate PFOA and PFOS to use CERCLA’s cost recovery and contribution provisions to pursue other PRPs for recovery of associated costs.
The Proposed Rule, if finalized, could have significant impacts on Superfund sites that are presently undergoing remediation or even where remediation has already been completed. For sites being remediated now, the EPA-approved remedial plans would have been calibrated to address other hazardous substances (say, solvents) already designated under CERCLA. The addition of PFOA and PFOS as hazardous substances may require a change in plans and/or additional work to address PFOA and PFOS as well as the original drivers. For sites that have already been closed without investigation and remediation of PFOA and PFOS, designation of such substances as hazardous under CERCLA could cause those sites to be reopened and additional remedial efforts to be required.
EPA’s proposed CERCLA hazardous substance rule follows a significant reduction earlier this summer in EPA’s non-binding health advisory levels for PFOA and PFOS in drinking water. In 2016, EPA had set a non-binding health advisory level of 70 parts per trillion (ppt) for both PFOA and PFOS. In June of this year, EPA issued revised advisory levels of 0.004 ppt for PFOA and 0.20 ppt for PFOS, as well as new health advisory levels for additional PFAS GexX (10 ppt) and PFBS (2000 ppt). The health advisory levels continue to be non-binding, but EPA has signaled its intention to promulgate a final rule setting a maximum contaminant level for PFOA and PFOS, enforceable under the Safe Drinking Water Act, by the end of 2023. The proposed rule is expected later this year.
Following publication in the Federal Register, EPA will accept public comment on the Proposed Rule for 60 days. The precise text and timing of the final rule is not yet clear and may be impacted by the volume and tenor of public comments. It also remains to be seen whether EPA will propose to designate other PFAS as CERCLA hazardous substances, and if so, which ones.
This post is also being shared on our Manufacturing Law Blog. If you’re interested in getting updates on legal news and perspectives and related business issues that are facing manufacturers and distributors, we invite you to subscribe to the blog.


Do Investments in Low-Income Neighborhoods Produce Objective Change in Health-Related Neighborhood Conditions?
Published in: Health & Place, Volume 64 (July 2020). doi: 10.1016/j.healthplace.2020.102361
Posted on RAND.org on March 16, 2021
This study examined the effect of neighborhood investments on neighborhood walkability, presence of incivilities, and crime in two low-income, primarily African American neighborhoods in Pittsburgh, USA. During the study period, one of the neighborhoods (the intervention neighborhood) received substantially more publicly-funded investments than a demographically matched comparison neighborhood. Comparisons between the neighborhoods showed a significant difference-in-difference for all three outcomes. The intervention neighborhood experienced significantly more change related to improved walkability and decreased incivilities. However, the control neighborhood experienced better crime-related outcomes. Analyses that focused on resident proximity to investments found similar results. This highlights the nuances of neighborhood investment, which is important to consider when thinking about public policy.


The
This initiative aims to attract talented professionals who have taken short-term or long-term career breaks and now wish to return to the corporate world. ACT Fibernet will assist such individuals in re-entering the workforce and re-defining their career paths.
Returning mothers, individuals who took breaks due to personal or health issues, volunteer work, ex-defence personnel, individuals whose families have been impacted due to Covid or individuals who have taken entrepreneurial breaks etc. are all eligible to apply for this program.
A fixed stipend will be provided to selected candidates, and the initiative will be undertaken across all cities for roles in the field of telesales, contact centre support, retention teams, among others. Successful candidates will be assigned a buddy and a mentor to make their transition back to the workplace seamless.
As per reports, the national unemployment rate in India in April climbed to 7.97% from 6.5% in March owing to the second wave of the pandemic. Since things have begun to normalize now people are seeking employment. After a career break, returning to the workplace may require training and upskilling, which ACT Fibernet aims to achieve through the ‘Welcome Back’ programme.
The company is dedicated to creating communities where everyone can thrive, and help individuals achieve their goals through initiatives like this. ACT Fibernet is excited about the second season of the training program and welcomes all candidates to apply.


The Commons
Economic Alternatives in the Digital Age
Author(s)
Papadimitropoulos, Vangelis
LanguageEnglish Abstract
"This book explores the potential creation of a broader collaborative economy through commons-based peer production (P2P) and the emergent role of information and communication technologies (ICTs). The book seeks to critically engage in the political discussion of commons-based peer production, which can be classified into three basic arguments: the liberal, the reformist and the anti-capitalist. This book categorises the liberal argument as being in favour of the coexistence of the commons with the market and the state. Reformists, on the other hand, advocate for the gradual adjustment of the state and of capitalism to the commons, while anti-capitalists situate the commons against capitalism and the state. By discussing these three viewpoints, the book contributes to contemporary debates concerning the future of commons-based peer production. Further, the author argues that for the commons to become a fully operational mode of peer production, it needs to reach critical mass arguing that the liberal argument underestimates the reformist insight that technology has the potential to decentralise production, thereby forcing capitalism to transition to post-capitalism. Surveying the three main strands of commons-based peer production, this book makes the case for a post-capitalist commons-orientated transition that moves beyond neoliberalism."
Keywordscollaborative economy; post-capitalism; platform capitalism; sharing economy; the commons; peer production DOI10.16997/book46 ISBN9781912656837, 9781912656851, 9781912656868 PublisherUniversity of Westminster Press Publication date and placeLondon, 2020 Classification
Economic systems & structures
Economic theory & philosophy
Political economy
Political structures: democracy
Social issues & processes
Social theory


Professional society guidelines can be used to set standards for clinical practice instead of government. This approach could help if federal or state policymakers view discarding embryos as ethically equivalent to abortion.
AMA J Ethics. 2018;20(12):E1160-1167. doi:10.1001/amajethics.2018.1160.
After years of funding disease-specific treatment, donation trends have shifted to support broader health systems infrastructure development. A remaining challenge is how to sustain antiretroviral therapy (ART) for patients in resource-poor regions.
AMA J Ethics. 2016;18(7):681-690. doi:10.1001/journalofethics.2016.18.7.ecas3-1607.
Iris G. Insogna, MD, MBE and Elizabeth S. Ginsburg, MD
Although the World Health Organization defines infertility as a disease, insurance coverage gaps generate disparities in access to care and treatment, especially for tubal factor infertility and oncofertility.
AMA J Ethics. 2018;20(12):E1152-1159. doi:10.1001/amajethics.2018.1152.


The global shift to renewable energy, including large-scale development of offshore wind farms (OWFs), is well underway.
european green deal EASME/EMFF/2018/011 Lot 1: Specific Contract No. 03 European Commission
This report from the European Commission provides guidance for the development of blue economy strategies in the outermost regions of European countries.


As the ninth report in the series, this edition highlights notable transfer enrollment changes and student persistence post-transfer over a two-year period since the pandemic started, disaggregated by academic year, student demographic characteristics, and institution sector and selectivity.
The 2022 update shows that of those who began postsecondary education at a community college in fall 2015, lower-income students were nearly half as likely than their higher-income peers to have transferred to a four-year institution (25% vs. 41%) and to have attained a bachelor’s degree within six years of first entry (11% vs. 22%).


DC Field Value Language dc.contributor.author J J Gao - dc.contributor.author N Nakamura - dc.contributor.author Byung Sun Min - dc.contributor.author A Hirakawa - dc.contributor.author F Zuo - dc.contributor.author M Hattori - dc.date.accessioned 2017-04-19T09:01:36Z - dc.date.available 2017-04-19T09:01:36Z - dc.date.issued 2004 - dc.identifier.issn 0009-2363 - dc.identifier.uri 10.1248/cpb.52.688 ko dc.identifier.uri https://oak.kribb.re.kr/handle/201005/6639 - dc.description.abstract 6) and 13 ganoderma acids (7-19), in the products of Ganoderma lucidum, an analytical system was developed using high-performance liquid chromatography with an ODS column. The mobile phase was a linear gradient of 1% AcOH/H2O-CH3CN and 2% AcOH/H2O-CH 3CN, and the elution profile was monitored at 243 and 250 nm for ganoderma alcohols and acids, respectively. The relative standard deviations of this method were less than 2.35% and 2.18% (n=5) for intraday and interday assays, and the recoveries were 90.9-100.8% and 93.4-103.9% for constituents of alcohol and acid groups, respectively. This system was applied to a quantitative determination of the constituents in 10 different products of G. lucidum: six usual umbrella forms of the fruiting bodies, three antlered forms of the fruiting bodies and spores, and eight specimens from the same G. lucidum strain, which was parasitized on logs from different plants or different fungus beds. The analytical results indicated that the quantity and composition of these triterpenes differed appreciably among various specimens, but the relative ratio of the alcohols and acids was not significantly different when the same strain of G. lucidum was used. - dc.publisher Pharmaceutical Soc Japan - dc.title Quantitative Determination of Bitter Principles in Specimens of Ganoderma lucidum Using High-Performance Liquid Chromatography and its application to the evaluation of Ganoderma products - dc.title.alternative Chromatography and its application to the evaluation of Ganoderma products - dc.type Article - dc.citation.title Chemical & Pharmaceutical Bulletin - dc.citation.number 6 - dc.citation.endPage 695 - dc.citation.startPage 688 - dc.citation.volume 52 - dc.contributor.affiliatedAuthor Byung Sun Min - dc.contributor.alternativeName Gao - dc.contributor.alternativeName Nakamura - dc.contributor.alternativeName 민병선 - dc.contributor.alternativeName Hirakawa - dc.contributor.alternativeName Zuo - dc.contributor.alternativeName Hatori - dc.identifier.bibliographicCitation Chemical & Pharmaceutical Bulletin, vol. 52, no. 6, pp. 688-695 - dc.identifier.doi 10.1248/cpb.52.688 - dc.subject.keyword antlered form - dc.subject.keyword fruiting body - dc.subject.keyword ganoderma lucidum - dc.subject.keyword HPLC - dc.subject.keyword spore - dc.subject.keyword triterpene - dc.subject.local antlered form - dc.subject.local fruiting body - dc.subject.local Ganoderma lucidum - dc.subject.local ganoderma lucidum - dc.subject.local HPLC - dc.subject.local Spore - dc.subject.local spore - dc.subject.local triterpene - dc.subject.local Triterpene - dc.description.journalClass Y -
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September 2022
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Collection: Banker Education
We are in a time of rapid change in the banking industry and the financial system, and across society more broadly. To increase the OCC’s relevance and effectiveness in the face of uncertainty, this strategic plan promotes agility and a culture of continuous learning, credibility, and trust as the banking system evolves. This trust is built on technical expertise, transparency, and OCC leadership on supervision for safety, soundness, and fairness. To achieve these goals, the OCC will invest in our people and modernize our operations. Meeting these goals will bolster the value of the OCC charter, which rests increasingly on the credibility and consistency of our supervision. By maintaining a strong local presence, honing a unique national and international perspective, and seeking stakeholder feedback when setting policy, we can secure clear benefits for OCC-chartered banks and lead on bank supervision.


How to stay motivated in an online class
As human beings, our behaviors and our goals are bridged by many factors, a major one being motivation. In essence,
the more motivated we are, the more likely we are to act towards the goal. Similarly, as motivation diminishes, so does performance.
In the context of online learning, sustaining motivation is vital in committing to the assignments as well as optimizing the learning experience.
As students identify motivating factors, their willingness and eagerness to tackle the classroom will likely follow accordingly. Research also shows the importance of motivation in the dynamic relationship between cognitive, emotional, and behavioral engagement.
As a student, this means that staying motivated is a key element in not only completing coursework, but also in advancing your learning.
However, while the unique nature of the online learning environment provides flexibility and accessibility, it can also pose barriers to sustaining motivation. Students who are accustomed to regular in-person lectures, discussions, and reinforcement may find it difficult to have little to no in-person interaction with classmates or instructors. As a result, it can be challenging to maintain enthusiasm without the social energy of a traditional classroom setting.
Sustaining the fire – how to stay motivated
As an online learner, instead of allowing your motivation to diminish, it’s important to proactively establish ways of sustaining the fire that drove you to the classroom in the first place.
Here are a few ways you can stay dedicated to your pursuit: 1. Elevate your motivating factors.
Of course, grades are important. However, if you want to gain a more meaningful experience that promotes relevant learning, consider aiming for intrinsic motivation rather than just extrinsic motivation.
For example, extrinsic motivation, like good grades or earning credit hours, is certainly motivating as it provides a concrete reward. These aren’t typically aspects to be overlooked. However, intrinsic motivation, like understanding the learning material as it relates to your life or achieving mastery of the subject, can help you stay on track eagerly.
As your curiosity increases, it is likely to affect your overall motivation to invest in the content, which can lead to improved learning.
2. Participate in the online community.
Connect with other online students to foster encouragement and incentive through discussions and feedback. The online community is filled with students, so connect with classmates to share experiences.
For example, take advantage of the “study lounge” feature in Blackboard. This provides students with a designated support forum as an opportunity to communicate with one another, discuss course content, post questions, and offer and receive support.
If you feel you need assistance beyond the study lounge, you can always contact your instructor for content related questions or your student support specialist with questions regarding program policy, course materials, and how to proceed through the course.
Even though you’re remote, you’re not alone.
3. Use visualization.
Use visualization as a constant reminder of your goal. Imagery can help you recall information quickly and effectively, so if there was a specific catalyst to your learning pursuit, display it for immediate prompting.
For example, print a picture of your motivation and hang it wherever you do the bulk of your work or write daily quotes in your agenda. Some students also find it helpful to create a vision board using magazine cut outs, online pictures, newspaper clippings, etc. It’s a fun exercise that also helps you paint the bigger picture for your goals.
These ideas will help you literally keep your eye on the prize.
What does success look like?
Success is the sum of small efforts repeated day in and day out, so commit to staying motivated along the journey. If discouragement surfaces, ask yourself how you can sustain the level of motivation that was the spark for you in the first place.
This will help you not only complete the work, but also apply higher levels of engagement and leverage all that your learning experience has to offer.
Tags:
motivation | online classes | Science Prerequisites for Health Professions | tips


Recent trends in cesarean section deliveries in Canada were explored using 1970-1988/89 hospitalization data from Statistics Canada's morbidity data base. The rate in Canada increased from 5.8 cesarean sections per 100 hospital deliveries in 1970 to 19.5 in 1988/89 and paralleled the increase in rates seen in the United States, which went from 5.5 to 24.7 during the same period. Canada had the second highest rate among the countries studied and in the last year of the study the Canadian rate was almost double that of the United Kingdom. Provincially the rates were highest in Newfoundland (23.3) and lowest in Manitoba (15.5). Cesarean sections were more frequent among women aged 35+ (27.3 per 100 hospital deliveries) compared with (13.9) for women under 20 years of age. Vaginal births after a previous cesarean increased significantly during the last 10 years from 3 per 100 previous cesarean sections in 1979/80 to 15.6 in 1988/89, perhaps indicating a significant shift in obstetric practice.


Abstract
Two anterior pituitary homografts were inserted under the left kidney capsule of adult male Sprague-Dawley rats (experimental rats). Sham-treated rats were exposed to identical surgical manipulations, but no tissue was inserted under the kidney capsule. The concentrations of dopamine (DA) and noradrenaline (NA) were determined in the median eminence, intermedioposterior pituitary and telencephalon by a radioisotope-enzyme technique. The decline in DA or NA 2 h after treatment with α-methyl-p-tyrosine provided a measure of DA and NA turnover, respectively. A marked increase in DA turnover was observed in the median eminence of the experimental compared to the sham-treated rats at 1, 3 and 6 days following surgery. The concentrations of DA and of NA were significantly reduced in the median eminence of the experimental rats compared to sham-treated rats at both 3 and 6 days following surgery. No statistically significant increases in DA or NA turnover were observed in either the intermedioposterior lobe of the pituitary or the telencephalon of the experimental animals compared to sham-treated animals at any time investigated. Serum prolactin (PRL) levels were significantly elevated in the experimental animals compared to the sham-treated animals by 3 days following surgery. The results of these studies clearly show that the turnover of DA in the terminals of the tuberoinfundibular neurons is increased by 1 day following the transplantation of anterior pituitary homografts under the kidney capsule. Future studies will be required to determine if this response is due exclusively to an early increase in serum PRL levels.
ASJC Scopus subject areas Endocrinology, Diabetes and Metabolism Endocrinology Endocrine and Autonomic Systems Cellular and Molecular Neuroscience


Visiting a hospital can be a daunting experience for young patients. As a result, some appointments are delayed or missed, which results in less treatment availability and low healthcare efficiency. Traditionally, there are some ways to help children ease fear at the hospital, including preparing children before the visit, offering distractions, offering a small treat afterward to create a positive association with the experience, etc.
Recently, PixelMax leverages virtual reality and tries to offer innovation to help solve the fear at the hospital. They partner with Alder Hey Children’s Hospital and build a digital twin, a virtual replica of the hospital’s radiology department, to help young patients feel more comfortable. In the virtual world, children are tasked with collecting glowing keycards scattered across the environment. With this mechanic, children can explore the hospital actively. Along the way, they can also interact with medical equipment like X-Ray machines and magnetic resonance imaging scanners and familiarize themselves with the equipment’s sound, appearance, and working mechanisms. By completing the tasks, they could earn badges. According to Shannon Taut, M.D., a pediatrician at the University of Michigan’s C.S. Mott Children’s Hospital, “The biggest fear is often the fear of the unknown. Anything that makes the interaction feel more familiar is helpful.” Therefore, it is expected that such an edutainment experience can be beneficial in reducing the children’s fear.
Besides PixelMax, other institutions and companies are also dedicating their effort to improving the healthcare experience with virtual reality. For example, the Maternity hospital in Spain has started applying virtual reality technology to help kids with extreme needle anxiety during the injection and blood extraction process. When children enter the virtual world, they will be distracted from the ongoing medical treatment and thus experience less pain. Silver, a virtual reality software, creates a two-minute animation story delivered via an immersive headset to help alleviate needle anxiety during vaccination. A pilot study showed that the VR animation could significantly reduce the anxiety score, though no significant differences in the pain scores were found.
With so many efforts and innovations in healthcare areas, it is promising that virtual reality can be a powerful tool to offer better alternatives than traditional methods to improve the healthcare experience.


Abstract
The angular momentum of dark matter haloes controls their spin magnitude and orientation, which in turn influences the galaxies therein. However, the process by which dark matter haloes acquire angular momentum is not fully understood; in particular, it is unclear whether angular momentum growth is stochastic. To address this question, we extend the genetic modification technique to allow control over the angular momentum of any region in the initial conditions. Using this technique to produce a sequence of modified simulations, we can then investigate whether changes to the angular momentum of a specified region in the evolved universe can be accurately predicted from changes in the initial conditions alone. We find that the angular momentum in regions with modified initial conditions can be predicted between 2 and 4 times more accurately than expected from applying tidal torque theory. This result is masked when analysing the angular momentum of haloes, because particles in the outskirts of haloes dominate the angular momentum budget. We conclude that the angular momentum of Lagrangian patches is highly predictable from the initial conditions, with apparent chaotic behaviour being driven by stochastic changes to the arbitrary boundary defining the halo.
Publication: Monthly Notices of the Royal Astronomical Society Pub Date: April 2021 DOI: 10.1093/mnras/stab440 arXiv: arXiv:2012.02201 Bibcode: 2021MNRAS.502.5480C Keywords: methods: numerical; galaxies: formation; galaxies: haloes; dark matter; Astrophysics - Cosmology and Nongalactic Astrophysics; Astrophysics - Astrophysics of Galaxies; Astrophysics - Instrumentation and Methods for Astrophysics E-Print: 7 pages, 4 figures. Accepted for publication in MNRAS: 2021 February 3. Received 2021 January 30


JAMA Health Forum published a cross-sectional study suggesting reimplementing that licensure restrictions on out-of-state telemedicine, which were lifted due to the COVID-19 pandemic, would have the most significant effect on patients living near a state border, those in rural locations, and those receiving primary care or mental health treatment.
“Relaxation of state restrictions would likely offer immediate convenience to patients who live near a state border and those receiving primary care and mental health treatment,” the study’s authors wrote. “These patients are subject to an accident of geography; two patients receiving the same care may have very different experiences. A patient with a primary care physician who lives in the middle of a state can access care via telemedicine. However, a similar patient living near a state border with a primary care physician in the neighboring state now will have to physically travel to that appointment.”
WHY IT MATTERS
When COVID-19 emerged, many states temporarily allowed physicians to provide care in states in which they did not hold a license, thus allowing for the increased availability of providers to those in areas with fewer medical facilities and resources.
Researchers aimed to determine which patients and specialties were using out-of-state telemedicine visits among Medicare beneficiaries during COVID-19. They analyzed 100% Medicare fee-for-service (FFS) claims from January through June 2021.
This period was chosen because it was after the impact of the early pandemic, when vaccines were available and the healthcare system stabilized but before temporary licensing regulations began to lapse.
Researchers noted that in the first half of 2021, 8,392,092 patients had been seen by a provider via telemedicine, 5% of which had one or more telemedicine visits with an out-of-state provider.
Patients living in a county close to a state border accounted for 57.2% of all out-of-state telemedicine visits, and 64.3% of those out-of-state visits were with a primary care or mental health clinician. In 62.6% of all out-of-state visits, prior in-person visits occurred between the same patient and healthcare provider.
Compared with patients who only had in-state telehealth appointments, those accessing out-of-state care were more likely to be dual-eligible for Medicaid and live in rural areas.
Researchers note there are limitations to their analysis, including its concentrated focus on the Medicare population, and its evaluation based on the patient’s home address and the clinician’s practice address, which could be inaccurate. They also focused on patients who had in-state and out-of-state telemedicine visits, not ones who had telemedicine visits in general.


When reviewing the symptoms of people with knee arthritis who underwent total knee replacements (TKA) in the U.S., one third of the those did not meet the standard of necessity when applied to a Spanish classification system, according to a study published in the journal Arthritis & Rheumatology (online June 30, 2014).


All About Cryptocurrency, NFTs, and Blockchain Advertising
It’s hard to go a day without hearing about cryptocurrency and blockchain technology. These buzzwords are everywhere, and it can be challenging to understand what they mean. We will break down the basics of cryptocurrency, NFTs, and blockchain advertising. We’ll explain how these technologies work and discuss their potential applications in the marketing industry.
Basics of Cryptocurrency
Cryptocurrency is a digital or virtual currency that uses cryptography to secure its transactions and control new units. Cryptocurrency is decentralized, not subject to government or financial institution control. Bitcoin, the first and most well-known cryptocurrency, was created in 2009.
Governments and financial institutions are beginning to take note of cryptocurrency and blockchain technology. In 2017, the Japanese government recognized bitcoin as a legal currency. Cryptocurrency is also powering blockchain applications such as advertising.
Cryptocurrencies are often traded on decentralized exchange apps like OKX and can also purchase goods and services. Many people view cryptocurrency as an investment, as its value fluctuates over time.
Developing countries that are leapfrogging traditional banking systems by using cryptocurrencies for their money transfers greatly benefit from cryptocurrencies. The health sector also helps from cryptocurrencies as patients can now pay for their medical bills using Bitcoin and other popular digital currencies.
Cryptocurrency is redefining how we interact with the digital world.
What Are NFTs?
Non-fungible tokens (NFTs) are cryptographic tokens that represent a unique asset. Each NFT is different from every other, and they cannot be exchanged or replaced. It makes them ideal for representing special items, such as collectibles or digital artwork.
NFTs ride on blockchain platforms such as Ethereum and Bitcoin. These platforms use distributed ledgers to track the ownership of NFTs. It makes it easy to verify who owns an NFT and prevents fraud or theft.
NFTs create digital marketplaces where buyers and sellers can trade unique assets. These markets sell anything from digital artwork to baseball cards.
NFTs are also being used to create digital collectables. These collectables are unique items that blockchain users can own and trade. Some famous examples of digital collectables include CryptoKitties and Rare Pepe cards.
Digital collectables offer a new way to enjoy and trade physical items. They also provide a way to collect and store digital assets.
What Is Blockchain Advertising?
Blockchain advertising uses blockchain technology to secure and track digital advertising transactions. Blockchain advertising is still in its early stages, but it can revolutionize the digital advertising industry.
Blockchain advertising offers several advantages over traditional digital advertising methods. Blockchain records all transactions, making it secure and transparent, as everyone involved can see what is happening. Blockchain advertising is also efficient, as there is no need for third-party intermediaries.
Blockchain advertising has the potential to revolutionize the digital advertising industry. It is still in its early stages, but it can offer more security, transparency, and efficiency than traditional advertising methods.
Conclusion
Cryptocurrency, NFTs, and blockchain advertising are still in their early stages, but they can revolutionize the marketing industry. They offer more security, transparency, and efficiency than traditional advertising methods. We look forward to seeing how these technologies develop and their new applications in the marketing world.


Webinar | Prospect Management Systems WORKING TOGETHER: BUILDING AN EFFECTIVE PROSPECT MANAGEMENT SYSTEM April 15, 2021 Session:Effective prospect management is the cornerstone to your fundraising operations, and key to retaining and cultivating your donor base. It enables you to optimize development efforts and gives all the people who contribute to this essential process the tools they need to succeed. However, teams are often working independently with donors using separate standalone processes, which can lead to lost information, duplicative work, conflicting goals and ultimately mismanaged donors.
You need a standardized system that supports everyone who works with prospects and donors. But how can you balance each team’s needs and design an efficient prospect management system to be used by all?
In our prospect management process improvement webinar, we examine how to align people, technology, and processes to build a collaborative prospect management system that supports your fundraising goals. We’ll explore:
How to understand and balance different team and organizational needs.
Tools and techniques to design a standardized system to maximize your pipeline.
Change management strategies to foster buy-in and teamwork.
JCA Senior Consultant Liz Murray and Consultant Sabra Aaron share JCA’s approach to designing prospect management systems.


Wood-plastic composite decking (as well as PVC decking) is designed to stand up to the outdoor elements, allowing it to maintain its look for years. There is no need to stain, paint or seal it, which is often a time consuming yearly project with wood decks. And, because it resists most warping, weathering, and bugs, you won’t find it necessary to replace uneven, rotting, or insect-damaged boards.


A conspiracy charge is a charge that is in addition to a criminal offense. A conspiracy charge will have steep consequences regardless of whether it is a misdemeanor or felony offense. However, a conspirator can be found guilty of conspiracy without being found guilty of a crime.
There are instances where a crime does not need to occur, and the individuals can still face conspiracy charges. Conspiracy means that two or more parties plan and agree to commit an illegal act. Additionally, at least one party must have taken overt action to move the plan along.
Since the requirements for a conspiracy are often vague, the evidence to prove the conspiracy is often insufficient. When facing a conspiracy charge, you must contact an Arcadia conspiracy lawyer from the Simmrin Law Group to discuss your options.
The Components of Conspiracy
There are three key components in a conspiracy charge. You cannot face a conspiracy charge if even one element is missing. Additionally, the prosecutor must prove these components before you can face any consequences.
The components are:
Agreement: The first part of the conspiracy is agreeing to commit a crime and making a plan. There must be two or more people who agree to a plan. Intention: A verbal agreement is not enough for a conspiracy. All of the parties have full intention to complete the criminal act, and there must also be an intention to follow through with the crime. Overt action: At least one individual in the group must take overt action to facilitate the crime, like watching a home or buying ski masks.
All three conspiracy elements must be present. The commission of even one means there is no conspiracy. Additionally, there must be two or more parties in the conspiracy to commit the crime.
Overt Action
The most critical element of conspiracy is overt action. Many prosecutors will heavily rely on this element because it is often the only one they can prove. Overt act means that a person physically took action to commit the crime.
While an agreement is step one, those are just words. It is when action is taken that matters change.
An overt action does not need to be illegal itself. Buying the supplies to commit a crime is not unlawful. Remember that only one party has to take action for the entire group to face conspiracy charges.
If you were part of the group and you did give an agreement but did not take action, your case can get tricky. While you agreed, you might not have had the intention to go through with the crime. However, the moment someone in the group does take action, all of you can be held liable.
For a free legal consultation with a conspiracy lawyer serving Arcadia, call (310) 928-9347
Conspiracy Charges You Can Face in Arcadia
Remember that while many cases result from the commission of a crime, not all do. A prime example is two individuals sitting in a vehicle with ski masks and guns ready outside a bank. A police officer catches them before they enter the bank. The crime did not happen, but the individuals did conspire to commit the crime.
You do not need to commit a crime to face a conspiracy charge. You can face federal and state conspiracy charges that can result in a misdemeanor or felony conviction. Your punishment will vary depending on the charges and whether it is on a state or federal level.
A felony in California is considered a crime with a punishment of over one year in prison. Committing multiple felonies means the conspiracy charges will equal the most severe felony. Some felony crimes include fraud, the sale of a controlled substance, murder, and obstruction of justice.
Misdemeanor Charges
Misdemeanor charges require a punishment of less than one year in jail. Many individuals think that because these charges are less severe, they do not need a conspiracy lawyer in Arcadia, but that is not true. Aside from jail time, you will also need to pay fines and be on probation.
If you commit any additional crimes, the state can upgrade them simply due to your criminal record. Misdemeanor crimes can also fall under wobbler classifications. The charge can result in a felony conviction if the offense is serious or harmful.
Arcadia Conspiracy Lawyer Near Me (310) 928-9347
Defenses for Conspiracy Charges
The three elements of conspiracy are difficult to prove, and you need to ensure that the conspiracy attorney in Arcadia can defend you appropriately. One defense strategy is proving there was no agreement to the plan and, therefore, no conspiracy. They were just words, or you disagreed with the plan; you were present while others were speaking on the topic.
Additionally, there may not have been an intention to commit the crime, which means no conspiracy. Before anyone could take overt action, you withdrew from the conspiracy and can not be held liable for the crime or any other activity. Since overt action is vital, if no group member took any step towards the follow through, then conspiracy is not present. Sometimes other defendants will try to help their case by placing additional blame on you.
One final defense is the improper collection of evidence. Law enforcement is known to abuse its power, and if we can prove that the police collected the evidence through an illegal search and seizure, the prosecution cannot use it for your case. There is a chain of command when collecting evidence; if that chain is broken, the evidence may be inadmissible.
Speak with an Arcadia Conspiracy Attorney
When your Arcadia conspiracy lawyer finds these elements, they will file petitions to suppress this evidence. Without evidence, the prosecution cannot prove there was a conspiracy, resulting in a complete case dismissal.
Simmrin Law Group has conspiracy lawyers in Arcadia with years of experience handling various criminal cases. The prosecutor is working extremely hard to charge and convict you. Call an Arcadia conspiracy lawyer today.


Energy efficiency of buildings is desirable to reduce costs, greenhouse gas emissions and meet legislative targets. This project aims to tackle a number of outstanding questions for the widespread use of energy piles, an existing technology that has the potential to reduce energy consumption in the heating and cooling of buildings.
Energy piles provide both foundation (structural) support to the building and the heating/cooling required. The study aims to address the thermo-hydro-mechanical interaction between the pile and the ground under realistic and extreme conditions, addressing both the short- and long-term behaviours.


Georg Heberer, Wiener Feinbäckerei, was elected the new AIBI president at the organization’s Congress held in Bled, Slovenia from June 16 to 18. More than 100 representatives from the association’s member countries attended the in-person event, which was postponed from its initial date due to pandemic restrictions.
Jean-Manuel Leveque, Chairman of NOVEPAN (France), was elected as the first deputy president. Armin Juncker, General Manager of the Association of German Bakeries, remains AIBI Treasurer.
The theme of the Congress was “Resilient and sustainable bakery”. The consequences of the pandemic were analyzed and recovery strategies. The impact of the EU’s planned Green Deal on the baking industry was another topic with a dedicated session, titled ‘Sustainability at the core of political developments and mega trends’. Current and upcoming disruptions were explored, as well as ways to navigate them (e.g., food security, improved logistics, digital tools).
The lectures on new technologies gave a glimpse into the future. The panel discussion with Robb MacKie, President and CEO of the American Bakers Association, focused on international cooperation between the European Union and North America.
The next AIBI Congress will take place in Germany in 2024.
Photo: AIBI


Hong Kong International Airport (HKIA) has provided a glimpse into what international airport procedures might look like once we're traveling again, and a lot of disinfection technologies are involved.
The busy Asia airport claims it's the first in the world to trial a live operation of CLeanTech, a full-body disinfection booth.
The short, but thorough, process sees those passing through undertake a temperature check before entering a small booth for the 40-second disinfection and sanitizing procedures.
According to the airport authority, the inside of the facility contains an antimicrobial coating that can remotely kill any viruses and/or bacteria found on clothing, as well as the body, by using photocatalyst advances along with "nano needles."
The individual is also sprinkled with sanitizing spray for "instant disinfection" inside the booth, which is kept under negative pressure, an isolation technique used in hospitals and medical centers, to prevent cross-contamination.
While CLeanTech is at present only being used on staff who undertake public health and quarantine duties for passenger arrivals, the fact that it's being trialed at one of the world's busiest airports suggests facilities like this may be used more widely in the near future.
However, it's worth noting that, as this system aims to disinfect a person's clothes and skin externally, it may not be effective when it comes to detecting those already infected with coronavirus who are not displaying any symptoms.
To help prevent person-to-person spread, many airlines are instructing people to wear masks.
Along with CLeanTech, the airport authority is also testing antimicrobial coating that will see an invisible coating which destroys all germs, bacteria and viruses being applied at all passenger facilities at Hong Kong International Airport.
This includes handles and seats, smart check-in kiosks and check-in counters, baggage trolleys and elevator buttons.
Once the trial is complete in May, a decision will be made on whether this measure will be implemented permanently.
Along with this, autonomous cleaning robots are being used to continuously disinfect public areas and passenger facilities at HKIA.
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New studies found that women who delay hormone replacement therapy after starting menopause may be at lower risks of breast cancer when compared to women who begin hormone therapy close to the start of menopause.
Additionally, women experiencing hot flashes may notice lower risks of breast cancer as well.
Researchers explain that menopausal symptoms, like hot flashes and night sweats, are caused by the change in hormones. Therefore, altering these hormones with therapy may increase specific cancer risks for women.
The magic number to wait before having any hormone therapy appears to be five years or more.
Women receiving hormone therapy five years or more after the start of menopause noticed no increase in the risk of breast cancer.
Research has determined that the duration between menopause onset and when a woman begins hormone therapy appears to be the largest determining factor in breast cancer risk.
The
National Cancer Institute journal published an entire study about these findings.


Title Term of Award
Summer 2021
Degree Name
Doctor of Philosophy in Logistics and Supply Chain Management (Ph.D.)
Document Type and Release Option
Dissertation (restricted to Georgia Southern)
Copyright Statement / License for Reuse This work is licensed under a Creative Commons Attribution 4.0 License. Department
Department of Logistics and Supply Chain Management
Committee Chair
Mark Hanna
Committee Member 1
Deepak Iyengar
Committee Member 2
Manouchehr Tabatabaei
Abstract
Operations strategy literature has considered the relative weighting of the operational capabilities of cost, quality, delivery, and flexibility as a common method to enhance a firm’s performance in the marketplace. In this literature, one stream of research advocates a focused approach, which suggests that successful firms should choose to focus on developing mainly one operations capability. In contrast, another research stream recommends a combinative approach that suggests simultaneous pursuing of a diverse set of operational capabilities. In two essays in this dissertation, we first investigate the link between operations strategies (focus vs. combinative) and market performance under certain market boundary conditions. Following that, in the second essay, we explore how incumbents operationally respond to a new rival’s entry into their market. More specifically, in the first essay, the role of market competition and market dominance is taken into account in the decision between focus and combinative operations strategy. In the second essay, we study how incumbent firms react to the entry of a new rival to their market by applying a focused vs. combinative operations strategy. To test the hypotheses, longitudinal regression models are applied to a rich market-level dataset providing route-level market and operational observations from the US airline industry between 2006 and 2018. The findings indicate that the focused approach in developing operational capabilities is associated with higher financial performance at the market level. However, in the first essay, it is shown that in a competitive market and for firms with higher market power, incumbents are found to be better off if they pursue a broader mix of capabilities. Besides, in the second essay, the results indicate that incumbent firms adjust their operations strategy in response to a market entry. Particularly, incumbents become more operationally focused when a new rival enters their market. With a unique focus on operational performance by airline routes, this research advances the operations strategy, resource allocation, and market entry literature by highlighting the crucial role of the operations strategy in achieving a competitive advantage in the market.
Recommended Citation
Karbasi-Kheyr, Ata, "Essays on Operations Strategy and Market Performance: Empirical Evidence from the U.S. Airline Industry" (2021).
Electronic Theses and Dissertations. 2269. https://digitalcommons.georgiasouthern.edu/etd/2269 Research Data and Supplementary Material
No


By Ramsey J. Choucair, M.D., F.A.C.S
The term “Mommy Makeover” describes a group of plastic surgical procedures performed to restore a more normal appearance to the abdomen and breasts following the changes that may occur following childbirth. Post-pregnancy changes may result in looseness of the abdominal skin, and bulging of the abdominal muscles. Additionally, breast tissue may shrink, leading to a smaller breast volume and an undesirable sagging of the breast.
Individuals that experience significant body distortion often desire surgical intervention to restore a more normal appearance.
A tummy tuck or abdominoplasty procedure tightens the abdominal muscles, eliminates exercise and diet-resistant fatty bulges, and removes loose skin.
Breast enhancement procedures include restoring breast volume (augmentation or reduction) and lifting drooping tissue (mastopexy). Differences among individuals make general recommendations imprecise and procedures are tailored to meet each person’s reasonable expectations.
Patients are encouraged to obtain more than one opinion and proceed after confirming that their expectations are reasonable and achievable. In most instances “what to do” is more relevant than “how it is done”. Remember, you are relying on the JUDGEMENT of the physician as the most important ingredient for a successful outcome. Fortunately, there are predictable and safe surgical options to restore body contour to those mothers who desire a “makeover”. Regardless, we agree with the premise of a popular song that reminds us “most mama’s oughta qualify for sainthood”.
We welcome your questions and are honored to consult with those interested in further information.